| Date & Referral Source | |||||||
| State: | Date of Application: | 08/17/2018 | Referred by: | Other | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Sable & White | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
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| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
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How long owned? |
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Where is this dog now? |
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| Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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How long owned? |
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Where is the dog now? |
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| Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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How long owned? |
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Where is dog now? |
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| Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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How long owned? |
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| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Joanna! I am a 21 year old college student. | ||||||
Why do you want a Pembroke? |
My family have been adopting dogs since I was a little girl. I am now 21 and would love to have a dog of my own. I know what it takes to take care of a dog because i’ve had to take care of my mom’s dogs alone for a long period of time. I want a corgi because the minute I see one, my heart skips a beat, I want to cry because they are just too cute and sweet. I am passionate about becoming a teacher and am equally as passionate about getting a corgi. They are perfect size. | ||||||
Activities planned with Pembroke: |
I would walk it every day, take it everywhere with me. I Live in austin and there are so many dog parks. I’d play with it and let it sleep next to me. | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
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Money for basic care? |
Yes | ||||||
Money for unforeseen medical expenses? |
Yes | ||||||
Willing to house train? |
Yes Willing to do formal training? Yes |
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Do you have a veterinarian? |
Yes | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
discipline it with cage. Basically like a time out and a small smack on the butt. I’ll personally learn from the mistake and make sure it does not happen again. Dogs are like humans, people make mistakes. I will not be mad. | ||||||
Discipline: |
smack on the butt, time out in the cage. | ||||||
Where would Pembroke spend the majority of the time: |
My apartment during the mornings/days. I am a college student with morning classes and I will be home most of the day with the corgi | ||||||
Discipline: |
smack on the butt, time out in the cage. Where would Pembroke spend the majority of the time: My apartment during the mornings/days. I am a college student with morning classes and I will be home most of the day with the corgi |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I have roommates that adore dogs. | ||||||
Where would dog eat? |
I would test out different foods but i’d buy good quality dry or wet food. | ||||||
Where would dog sleep: |
in a dog bed in my room, next to my bed. | ||||||
Play & exercise: |
I will walk the corgi 3 times a day, weekend or days I am free, i’ll take the corgi to dog parks or around campus. I will make sure to portion the food and include good exercise. | ||||||
How will you exercise your dog? |
On leash | ||||||
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Fenced yard? |
No, I don’t have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
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Living arrangements: |
Apartment | ||||||
Landlord info: |
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May we contact your landlord? |
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Lease allow dogs: |
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Landlord permission: |
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Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
N/A | ||||||
Household members: |
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Everyone in household agrees about adopting a corgi? |
Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi. | ||||||
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May we do a home visit? |
Yes, I will allow LPWCR representatives to inspect my home prior to allowing me to adopt a Pembroke. | ||||||
Who will be responsible for the adopted corgi’s care? |
Joanna Lu | ||||||
Willing to train children? |
I don’t have a child | ||||||
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Any allergies? |
No one is allergic. | ||||||
Current pets: |
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Current pets dog friendly? |
Yes, all of our current pets are friendly toward dogs. | ||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
Yes | ||||||
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Lifetime commitment to Pembroke? |
Yes, I am willing to commit to this dog for the rest of its life. | ||||||
Return to Lakeshore if unable to care for Pembroke? |
Yes, I will only surrender my adopted corgi to LPWCR if I am unable to care for it. | ||||||
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Understand no guarantees? |
Yes, I understand that there are no guarantees regarding the condition, health, behavior or personality of the Pembroke I adopt. | ||||||
Carefully considered the pluses and minuses of adopting a pet? |
Yes, I have carefully thought out my decision to adopt a Pembroke and am willing to deal with the consequences. | ||||||
Personal references: |
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